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1351 June 80, 1905 

men about 10 per cent; urine cleared up on the 6th day, went on to 

An Italian at the hotel was taken about the same time. His was a 
tj'pical case. Albumen, 25 per cent; pulse went as low as 40, with a 
slow convalescence; is now about well. 

The last case is that of the surgeon of the United Fruit Company 
and is of much interest as showing the enormous quantity of sulphate 
of quinine a person of long experience in the Tropics can stand with- 
out injury, in yellow fever. This patient had lived in the Tropics 
about fifteen years, having spent five years of his life at Limon, going 
through three epidemics there without contracting the disease. He 
considered himself immune. On May 30 he was taken violently ill with 
all the train of symptoms of yellow fever. Two days before this he com- 
plained to me of feeling very badly, but still remained at work, and 
said he supposed he was going to have a sharp spell of remittent fever, 
as he had not had an attack for a long time. He began taking large doses 
of sulphate of quinine to reduce the temperature, but he complained 
he could not bring his temperature to normal and lower than 101i, 
and during the two days before he was taken ill he told me that he took 
280 grains of sulphate of quinine and 1 ounce of Warburg's tincture 
to reduce his temperature. On Thursday night he had the preliminary 
chill, temperature going to 104-g , and from that time on during his ill- 
ness he never showed the bad effects of the. quinine, although he had 
a very serious attack of yellow fever and at one time the urine test 
showed 25 per cent albumen. 

Of the 8 cases reported thus far 1 have recovered and 4 have died. 
There are probably others among the natives which have not been 
reported, which have been treated by their own physician. 

Regarding the mosquito theory I have the honor to state that the 
house where the first case died is inclosed in wire mosquito netting, 
and was guaranteed to be absolutely mosquito proof by the carpenter. 
Up to date, of the persons who were living in the house at the time 
of the patient's death, there has never been a single one taken ill. 
The hotel, however, seems to have been the main focus of infection, 
as nearly everyone in the hotel has been sick either with yellow fever 
or other fever. 

Every house where the sickness has occurred has been immediately 
disinfected, after the removal of the case or the recovery, with sul- 
phur, and every case of sickness, no matter of what character, has 
been treated under mosquito bars. 

Yellow- fever situation. 

June 13, 1905. 
The yellow fever situation to date is as follows: Four cases recov- 
ered; 4 deaths; 2 cases remaining, which will recover; several suspects; 
total, 10 cases. 


Report from Calcutta — Cholera and plague mortality — Restrictions on 
inland travel in Burma removed — Malaried fever caused by bite of 
mosquitoes; facts noted in ancient Sanskrit literature in Ceylon . 

Acting Assistant Surgeon Eakins reports, May 25, as follows: 
There were no transactions at this port during the week ended May 
20, 1905. 


June 30, 1905 1352 

During - the week ended May 20, 1905, there were 31 deaths from 
cholera and 172 deaths from plague in Calcutta. 

In Bengal, week ended May 13, 1905, 2,182 cases of and 1.984 
deaths from plague. 

In India, week ended May 6, 1905,60,671 cases of and 59,253 deaths 
from plague; week ended May 13, 1905, 52,939 cases and 16,003 deaths. 

Restrictions on inland travel in Burma removed. 

The Rangoon Chamber of Commerce recently called the attention 
of the local government to the manner in which the passport system 
was enforced in certain districts, and strongly urged that the system 
be abolished, on the ground that its results have created a panic among 
the people and caused serious injury to the trade of the province. A 
similar representation has been made by the president of the Rangoon 
municipality, by whom it was represented that the retail business of 
Rangoon had been seriously affected; that traders and others had been 
deterred from approaching the town, not through fear of plague itself, 
but because of the restrictions to which they are liable on their return 
to their homes. 

A resolution has been published by which the lieutenant-governor 
directs that all means of surveillance in the case of inland travelers in 
Burma who m&y have arrived or who may be suspected of having 
arrived from a plague-infected area shall be discontinued and that no 
other restrictions shall be imposed. Names and addresses of persons 
arriving by train or steamer must not be recorded, nor must they be 
compelled to present themselves for inspection or medical examina- 
tion. These orders relate to inland travelers 01113-. I n 'he case 0I 
those arriving \>y sea at Rangoon or any other port in the province 
the existing procedure will continue to be enforced. 

By the cooperation of the people throughout the province and b_v 
the steps which have been taken to improve the sanitaiy condition of 
the municipal and other towns, 'so as to render them less liable to 
attack by the epidemics, there is still reason to hope that plague may 
be confined to Rangoon and may not obtain a footing in any other 
town or district in Burma. 

Connection between mosquito bite and fever in Ceylon noted in ancient 

Sanskrit literature. 

Ceylon has just made a most interesting and somewhat startling 
contribution to the subject of mosquitoes and malaria. 

Sir Henry Blake, the governor, in the course of a personal investi- 
gation into the malarial epidemic of Mutwal, was informed that an 
ancient Sanskrit document written about 1,400 years ago, mentioned 
67 varieties of mosquitoes the bites of which produced malarial fever, 
of which 40 varieties have since been identified in Ceylon. Transla- 
tions of the Sanskrit work in question have been made, and the results 
have been communicated by His Excellency to the British Medical 
Association. The paper was of a tentative character, for all that 
appears to be proved is that Eastern literature connected the bite of 
mosquito with fever, though not with the particular type of fever 
known as malaria. How far the theories of the Orientals actually 
extended is now being made the subject of inquiry in Ceylon.